Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $84.69 / $153.56	Professional		$65.65	$84.69	$153.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $70.47	Professional		$69.93	$69.93	$70.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $228.03 / $255.13	Professional		$190.03	$228.03	$255.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $199.20 / $419.48	Professional		$108.00	$199.20	$419.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $199.20 / $381.15	Professional		$89.51	$199.20	$381.15
United Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $231.30 / $291.10	Professional		$230.38	$231.30	$291.10